BIO DATA FORM

(To be submitted by each Borrower / Guarantor)

Affix
passport
size
photograph
here

1. Name
2. Father’s / Husband’s name
3. Occupation
4. Age & Date of Birth
5. Educational Qualifications
Name of Kartha (in the case of Joint Hindu
6. Family)
Whether belongs to SC/ST/ Minority
7. Community
Permanent Address
8.

9. Present Address

Contact Nos. (Landline and mobile Nos.)

Email
10. Other particulars (photocopies to be attached)
i. Passport Number
ii. PAN Number
iii. Voter’s ID Card no.
iv. Driving License No.
v. Ration Card No.
vi. Any other (photocopies to be attached)
11. General Information
Relationship

Occupation
dependent
residential
members

Whether
Name of

address

address
Present

income
Annual
Official
family
Sl.No.

Age

1 2 3 4 5 6 7 8 9
 -2-

12. Personal assets & liabilities Property I Property II

(a) Details of immovable property
i. Particulars (give details of title
deeds and enclose photocopies)
ii. Extent of land/UDS
iii. In whose name registered
iv. Whether unencumbered
v. If encumbered, to what extent
vi. Location (village / town)
vii. Survey Number
viii. Personal / Family Property
ix. Value
Total value of immovable property
(b) Liquid Assets
Particulars Amount (Rs.) If encumbered to what extent
i. Cash & Bank balance (SB/FD/CA)
ii. Govt. Securities (give details) (GPF/PPF, etc.)
iii. Shares / Bonds / Debentures (give details)
iv. Life Insurance Policy amount
Policies Paid up value
v. Jewellery
vi. Details of vehicles – Car, 2Wheeler, etc.
(mention Make. Model and Reg. No.)
vii. Investments others (household items, etc.)
viii. Investment in business, if any.
ix. Investment in Associate firms, if any
x. Investment in Plant & Machinery
a. Particulars of machinery
b. Location
c. Registered / purchased in the name of
d. Whether unencumbered Yes / No
e. If encumbered, to what extent
f. Value
(c) Liabilities
Particulars
i (a) Borrowings from Bank/FI
i (b) Borrowings from Bank/FI
i (c) Borrowings from Bank/FI
(give details of security furnished)
ii. Borrowings from friends and relatives
iii. Borrowings from other sources (give details)
Place : Signature :

Date : Name :
FOR OFFICE USE